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Z68.55

Billable

Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for age

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A child has severe obesity, with weight substantially above the healthy range for their age, representing an intermediate level of pediatric obesity severity.

Coding Tips

  • Use when BMI is 120% to less than 140% of the 95th percentile for the child's age and sex
  • This indicates Class 2 obesity; document comorbidities and consider referral to pediatric obesity specialists

Code Hierarchy

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